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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390321278
Report Date: 03/25/2022
Date Signed: 03/25/2022 11:58:52 AM

Document Has Been Signed on 03/25/2022 11:58 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
390321278
ADMINISTRATOR:COOK, NANCYFACILITY TYPE:
850
ADDRESS:5151 PACIFIC AVETELEPHONE:
(209) 954-5702
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY: 144TOTAL ENROLLED CHILDREN: 49CENSUS: 40DATE:
03/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:38 AM
MET WITH:Nancy CookTIME COMPLETED:
12:15 PM
NARRATIVE
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On Friday, March 25, 2022 at 10:40 am, Licensing Program Analyst (LPA) Elvira Sierra and Licensing Program Manager (LPM) Bettina Engelman met with Director, Nancy Cook for a Case Management inspection. The purpose of the inspection was to follow up on a recent report of the lead testing in the facility of the water used for drinking and cooking. Present in the facility were 12 staff supervising 40 children.

Licensing Office notified Director Cook on Monday, March 07, 2022, that a report from the State Water Resources Control Board revealed that facility has multiple water outlets (drinking fountains/kitchen sink faucets) with elevated levels of lead.

Director Cook, reported on March 07, 2022, that facility made all outlets with elevated levels of lead inaccessible to use and water would be turned off to all drinking fountains and the affected sinks until all affected outlets can be replaced or repaired. In addition she stated that facility was not using the classrooms or outdoor drinking fountains, due to COVID. Facility is using bottled water for dinking outdoors and indoors facility is filling pitchers from outlets that are not affected. Director stated she was not aware that she needed to report to Licensing when the water testing was completed.

During today's inspection LPM and LPA verified that the affected water outlets are not in use. Director stated that the affected kitchen faucets are currently in use because they supply water for hand washing and rinsing dishes. The water in affected faucets in the kitchen are not being used for cooking or drinking.

Deficiency cited on subsequent page 809D. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director, Nancy Cook.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 03/25/2022 11:58 AM - It Cannot Be Edited


Created By: Elvira Sierra On 03/25/2022 at 10:08 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 390321278

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
04/25/2022
Section Cited
CCR
101238(a)

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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidence by: Facility has been provided water that is hazardous to children health. This is a violation that if not corrected can pose a health and safety risk to the children in care.
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During today's visit LPM and LPA observed the affected water outlets were not in use. Director stated after she was informed she took immediate action. She contacted a plumber to turn off and repair or replaced affected drinking/cooking water outlets.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Bettina Engelman
LICENSING EVALUATOR NAME:Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022


LIC809 (FAS) - (06/04)
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